Tup Application Form for College Admission (1)

8/3/2019 Tup Application Form for College Admission (1)

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T UP F O RM 1 -A (revised 7/28/09)

Technological University of the Phi l ippinesPICTURE

Mani la

APPLICAT ION FOR TU P COLLEG EADMI SS ION TEST

Course Code App l ica t ion Form No.Session Code Off icia l Rec eipt No.Date of Examina tion O.R. DateTime Room

PRINTLEGIBLY

S U R NAM E F I R S TNAM E M .I.

HOM EAD D R E S S

No. Street Barangay /District Municipality/City

Peese w ie i syou sichoce end 2 i syou 2ndchoce

COLLE G E O FARCHITECTURE and FINEARTS COLLEGE OF INDUSTRIAL T E C H N OLO G YBachelor of Science in Architecture(BSA)Bachelor of Fine Arts (BFA) Major in Advertising)*Bache lor in Graph ics Techno logy (BGT)

Bache lor o f Science in Food Techno logy (BSFT)Bache lor o f Science in Hote l & Restaurant Management (BSHR*Bachelor of Technology (BT)*Bachelor of Technology in Information Technology (BTIT)

Three-YearDiploma CoursesGraph ics Techno logy (GT)/Arch itecture Techno logy (AT) Three-YearDiploma CoursesProduct Design Deve lopment Techno logy (PDDT) Associa te in Mar ine Eng ineer ing (AME)

Automot ive Eng ineer ing Techno logy (AET)Appare l and Fash ion Techno logy (AFT)COLLEGE OF ENG INEERING Civ il Eng ineer ing Techno logy (CET)

Bache lor o f Science in C iv il Eng ineer ing (BSCE) Computer Eng ineer ing Techno logy (COET)Bachelor of Science in Electrical Engineering (BSEE ) Electrical Engineering Techn ology (EET)

Bache lor o f Science in E lectron ics Eng ineer ing (BSECE) E lectron ic Comm unica t ions Eng ineer ing Techno logy (ECET)Bache lor of Science in Mec hanical Engineering (BSM E) Electronics Engineering Techno logy (EsET)

Foundry Eng ineer ing Techno logy (FET)CO LLEG E O F IND USTR IA L EDU CATIO N Graph ics Arts and Pr int ing Techno logy (GAPT)Bache lor of Science in Industria l Educa tion (BSIE) Major in: Instrumentation and Control Engineering Techn ology (ICET)

Art Educ ation Electrical Techn ology/ Mec hanical Engineering Techno logy (ME T)Computer Educat ion Home Economics Nutr it ion and Food Techno logy (NFT)Electronics Techno logy Industria l Arts Pow er Engineering Techn ology (PET)

*Bache lor o f Techn ica l Teacher Educat ion (BTTE) Ra i lway Eng ineer ing Techno logy (RET)Refrigeration and AirCondit ioning Engineering Technology (RACE

Tool and Die Eng ineer ing Techno logy (TDET)CO LLEG E O F SC IEN CE W eld ing Eng ineer ing Techno logy (WET)

Bache lor o f Science in Com puter Science (BSCS)Bache lor of Science in Information Technology (BSIT)Bachelor of Scienc e in Informat ion System (BSIS) C O LLEG E O F L IB ERAL A R TSBache lor o f Science in Env i ronmenta l Science (BSES) Bache lor o f Science in Entrepreneur ia l Managem ent (BSEM)Bachelor of Applied Science in Laboratory Technology (BASLT) *Bache lor of Arts in M anagement (BAM)

Major in Industr ia l Managem ent

* Continuumprogramforgraduate ofthree-yeardiploma coursesonly.

TEST PERMIT

PICTURE1 % x 1 %

Technological U niversity of the PhilippinesOFFICE OFADMISS ION S

Mani la

Cou rseCo de App l icat ionN o.Session Code Off icia l Rece ipt No

O.R Date

Thisis to certifythat whosephotoand signatureappearshereinis allowedto takethe Col lege Adm ission test at the TUP , Ayala Blvd., M anila on R o o m Tim e


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o irectirI m ii tniIo erI


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PER SONAL DATA

N a m eD ate of BirthNo.ofBrothers No.ofSisters

Sex Age StatusP lace of BirthBirthOrder 1 2 3 4 5 6 7 8 9 10

Citizenship Re ligion He ight WeightC ontact no.S M A R TG L O B E

M ea nsofFinancialSupport: Parents Scho larsh ip O thers

FAM ILY BACKGROU N D

FATHE R M O TH ERN a m eDateof Birth Te lno .Occupat ionEduc.Attainment

Fa m ilyInc om e(ch ec kbo x)

N a m eDateof Birth Tel no.Occupat ionEduc.Attainment

5,000be low 15,001-20,0005,001-10,000 20,001-30,00010,001-15,000 30,001 above

E D U CAT IONALATTAIN M E NT

LE VEL NA M E O FSC HO O LYEAR

GRADUATEDELEMENTARY

S E C O N D A R Y

TERTIARY

ThirdYearGeneralAverage: C um ula tive Averag ing N um ber ofGraduatingClass:W hatareyou rcurre ntgra de sinthefo llow ingsu bjec ts?

SU BJEC T FIR STG R AD ING SEC O N DG R ADIN G THIR DG R AD ING

MATHEMATICS

SCIENCE

ENGLISH

PLE D G EIHE RE BYAF FIRMTHA TALLTHEANSW ERSGIV ENHE REAR ETR UEAN DCO RR EC T. IUNDERSTANDTH ATGIV INGFA LSEINFO RM ATIO NWILL

AUTOMATICALLYDISQUALIFYM EFO RADMISSIONO R SUBJECTTO DISMISSALBY C O M P E T E N TAUTHORIT IES . IF ADMITTED,I WILLABIDEA NDCO MP LYW ITHALLTH EPOLIC IES ,RU LESANDREG ULA TION SOFTHETECHNOLOGICALUNIVERSITYOFTHEPHILIPPINES.

CERTIFIEDC O R R E C T :

Signature ofStudent

STE PSON TUPADMISSION

1 . A cco mp lishthisappl icat ionformandpaythe non-refundable(P375.00)tes tingfee attheCashier 'sOffice.2. Sub mitth eaccompl ishedformwith2IDp ictu re s(1Y ,X1Y ,)totheOfficeofAdmissionsan dsec ureyou rtestpe rm it.3 . T a k et he T U PA d m i ss io nTestonthe sp ec ifiedda te,tim e,an droo m .Bringwithyouyourtestpermitand2pe nc ilsw itheraser.4 . R e le as eo f testres ultwillbepo ste don a tthe C ASBu ildinglob byorvisitourwebsitew w w .t u p .e du.p h.5 . R eportonthes pe cifiedda tefory ou rinterv iewan dsub m itthefollow ingdo cu m en tsforenrol lment.

a. T estpe rmitb. O rig ina lcopyofForm138/137ortranscripto fRecordsc . C e rtific ateo fgo odmoralcharacterd . X e ro xc o pyo f Birthce rtifica te

*F ailure toreportonthe specifieddate willmeanforfeiture ofAdmissionslot.6 . SecureyourNot iceof Admissionsan dpro ce edtotheUniversityClinicform edica lexam ination7 . R ep orttoyourrespect iveco ursead viser/d ea nforenrolment .

Note: Appl icantsforE ngineering ,Architecturean dSc ien ceco urs essh ou ldha ve80%gr ad eorbe tte rinM ath ,S cie nc ean dEnglish. Fortransfereeapplicants,nofailin ggra desan dma yenro llonlyin3yea rdiplom acour ses . Enro l lmentwillbeonaFIRSTC OMEFIR STSE RV EDba sis. Fo rmo reinq uirie scallthe Of ficeofAdmissionatte lephone302 77 50loc6 03

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Tup Application Form for College Admission (1)